简易呼吸器结合缩唇-腹式呼吸训练对脑卒中气管切开患者呼吸功能的影响  

Effect of Simple Breathing Apparatus Combined with Lip Reduction and Abdominal Breathing Training on Respiratory Function in Patients with Tracheotomy after Stroke

作　　者：李菲 LI Fei(Department of Rehabilitation Medicine,Jinan Third People’s Hospital,Jinan 250000,China)

机构地区：[1]山东省济南市第三人民医院康复医学科,山东济南250000

出　　处：《中国伤残医学》2024年第24期114-117,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析简易呼吸器与缩唇-腹式呼吸训练联用对脑卒中气管切开患者的影响。方法:选取2019年10月—2024年6月济南市第三人民医院收治的74例脑卒中气管切开患者为研究对象,按照随机数字表法将其分成对照组和研究组,各37例。对照组行常规干预,研究组行简易呼吸器结合缩唇-腹式呼吸训练干预。两组均干预6周。比较两组呼吸功能、膈肌移动度、膈肌厚度及生存质量。结果:干预后,研究组第1秒用力呼气量为(75.47±4.12)L、每分钟最大通气量为(75.43±4.10)L/min、肺活量为(78.96±4.43)L,高于对照组的(69.11±3.83)L、(68.35±3.74)L/min、(72.06±4.05)L,呼吸次数为(16.22±1.30)次/min,少于对照组的(19.24±1.45)次/min,差异均有统计学意义(P<0.05)。干预后,两组膈肌移动度及膈肌厚度均大于对照组,且研究组均大于对照组,差异均有统计学意义(P<0.05)。干预后,两组圣乔治呼吸问卷中各个维度评分均低于干预前,且研究组均低于对照组,差异均有统计学意义(P<0.05)。结论:将简易呼吸器与缩唇-腹式呼吸训联合应用于脑卒中气管切开患者的护理当中,可改善患者的呼吸功能及生存质量,优化其膈肌移动度、膈肌厚度,具有一定的临床应用价值。Objective:To analyze the effect of simple breathing apparatus combined with lip reduction and abdominal breathing training on tracheotomy patients with stroke.Methods:A total of 74 patients with tracheotomy after stroke admitted to Jinan Third People’s Hospital from October 2019 to June 2024 were selected as the study objects,and were divided into a control group and a study group according to random number table method,with 37 cases in each group.The control group received routine intervention,and the study group received simple breathing apparatus combined with lip reduction and abdominal breathing training intervention.Both groups were treated for 6 weeks.Respiratory function,diaphragm mobility,diaphragm thickness and quality of life were compared between the two groups.Results:After the intervention,the forced expiratory volume in the first second of the study group was(75.47±4.12)L,the maximum volume of gas per minute was(75.43±4.10)L/min,and the vital capacity was(78.96±4.43)L,which were higher than the control group(69.11±3.83)L,(68.35±3.74)L/min,(72.06±4.05)L,respiratory times(16.22±1.30)times/min,less than the control group(19.24±1.45)times/min,the differences were statistically significant(P<0.05).After the intervention,the degree of diaphragm movement and diaphragm thickness in both groups were greater than that in the control group,and the study group was greater than that in the control group,with statistical significance(P<0.05).After intervention,the scores in all dimensions of St.George’s Respiratory Questionnaire in both groups were lower than before intervention,and the study group was lower than the control group,with statistical significance(P<0.05).Conclusion:The combination of simple breathing apparatus and lip reduction and abdominal breathing training in the nursing of patients with tracheotomy of stroke can improve the respiratory function and quality of life of patients,optimize the diaphragm mobility and diaphragm thickness,and have certain clinical application value.

关 键 词：脑卒中 气管切开 简易呼吸器 缩唇-腹式呼吸训练 呼吸功能 

分 类 号：R563.9[医药卫生—呼吸系统]